FORM 1023-EZ for AUTOTELIC NFP

Field Data
EIN 47-2076760
Case Number EO-2014293-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTOTELIC NFP
Organization’s Mailing Address 1856 N RICHMOND ST
City CHICAGO
State IL
ZIP 60647
Accounting period End 12
Primary contact name ANDREA CRIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA CRIST
EXECUTIVE DIRECTOR
1856 N RICHMOND ST 2R
CHICAGO IL 60647

Officer/Director/Trustee Two

EVAN CARRISON
DIRECTOR
1856 N RICHMOND ST 2R
CHICAGO IL 60647

Officer/Director/Trustee Three

ALICE FELDT
DIRECTOR
3132 HICKORY ROAD
HOMEWOOD IL 60430

Officer/Director/Trustee Four

ALEXANDRA NOE
DIRECTOR
873 N RICHMOND ST APT1
CHICAGO IL 60622

Officer/Director/Trustee Five

GWENDOLYN ZABICKI
DIRECTOR
3020 W BLOOMINGDALE AVE
CHICAGO IL 60647

Organization’s website WWW.AUTOTELIC-ART.COM
Organization’s email AUTOTELICSTUDIOS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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